How do people on beta blockers and blood pressure lowering medications tolerate exercise? How can they increase their cardiac output?
Answer
These are great questions. Let’s take this in parts. How can someone on beta blockers and blood pressure lowering meds tolerate exercise? They tolerate it very well. In fact, patients on beta blockers and blood pressure lowering medications should certainly be exercised. Here is the neat thing about the rating of perceived exertion. It has been found in studies that regardless of a person’s heart rate response or if they are on beta blockers medication, the person’s perception of how hard they are working is constant. Even though the heart rate might be blunted when they reach an exertion point of 13 (which is the number to stop exercising), it can be counted on as being reliable and valid in terms of their exertion for the moment. I would use the rating of perceived exertion to access the patient. How can they increase their cardiac output? Any kind of endurance exercise, even though the mechanism tends to be a bit blunted by the medication, can certainly help improve blood flow to the heart.
Donald K. Shaw, PT, PhD, D.Min., FAACVPR
Donald K. Shaw, PT, PhD, D.Min., FAACVPR is a Professor in the Physical Therapy Department at Nova Southeastern University. Dr. Shaw is a Fellow and former national board member of the American Association of Cardiovascular and Pulmonary Rehabilitation. He has lectured and presented research in Argentina, Scotland, Ireland, the Peoples Republic of China, the Dominican Republic, Puerto Rico, and throughout the United States. His published work appears widely in medical journals including the Journal of Cardiopulmonary Rehabilitation, Respiratory Care, Medicine & Science in Sports & Exercise, Cardiopulmonary Physical Therapy Journal, Heart and Lung, Journal of Allied Health, and the American Journal of Cardiology. Dr. Shaw has received several university awards for both teaching and scholarship.
Related Courses
1https://www.physicaltherapy.com/pt-ceus/course/diabetes-in-adults-current-guidelines-3958Diabetes in Adults: Current Guidelines and EvidenceThis course gives us an overview of diabetes in adults, discusses current perspectives and guidelines, and addresses its significance in PT practice. It also looks at some of the current literature that addresses the evidence for risk factors and interventions and to see how they may apply to our practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comDiabetes in Adults: Current Guidelines and EvidenceThis course gives us an overview of diabetes in adults, discusses current perspectives and guidelines, and addresses its significance in PT practice. It also looks at some of the current literature that addresses the evidence for risk factors and interventions and to see how they may apply to our practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.3958OnlinePT120M
This course gives us an overview of diabetes in adults, discusses current perspectives and guidelines, and addresses its significance in PT practice. It also looks at some of the current literature that addresses the evidence for risk factors and interventions and to see how they may apply to our practices. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.
2https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-1-systemic-4473Medical Screening – Part 1 Systemic PathologyThis course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 1 Systemic PathologyThis course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4473OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 1 of a four-part series on screening. Part 1 provides an overview of the signs/symptoms of systemic pathology.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
3https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-3-adult-4475Medical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 3 AdultThis course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4475OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 3 of a four-part series on screening. Part 3 addresses pathology in the adult portion of the lifespan. Part 1 is recommended prior to part 3.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
4https://www.physicaltherapy.com/pt-ceus/course/medical-screening-part-4-geriatrics-4476Medical Screening – Part 4 GeriatricsThis course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comMedical Screening – Part 4 GeriatricsThis course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4. Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.4476OnlinePT120M
This course focuses on medical screening for the physical therapist and is Part 4 of a four-part series on screening. Part 4 addresses pathology in the geriatric portion of the lifespan. Part 1 is recommended prior to part 4.
Editor's Note: Regarding Pennsylvania credits, this course is approved by the PA State Board of Physical Therapy for 2 hours of Direct Access CE credit.
5https://www.physicaltherapy.com/pt-ceus/course/overcoming-compassion-fatigue-in-our-4314Overcoming Compassion Fatigue in Our Work EnvironmentThis seminar will describe the stages, causes, symptoms, and consequences of compassion fatigue. It will also introduce strategies for assessing levels of stress and implementing strategies to prevent/minimize the development of compassion fatigue in your healthcare setting. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.auditory, textual, visual129USDSubscriptionUnlimited COURSE Access for $129/yearOnlineOnlyPhysicalTherapy.comwww.physicaltherapy.comOvercoming Compassion Fatigue in Our Work EnvironmentThis seminar will describe the stages, causes, symptoms, and consequences of compassion fatigue. It will also introduce strategies for assessing levels of stress and implementing strategies to prevent/minimize the development of compassion fatigue in your healthcare setting. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.4314OnlinePT120M
This seminar will describe the stages, causes, symptoms, and consequences of compassion fatigue. It will also introduce strategies for assessing levels of stress and implementing strategies to prevent/minimize the development of compassion fatigue in your healthcare setting. This course is directly related to the practice of physical therapy and athletic training and is therefore appropriate for the PT/PTA and AT.
